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1972371185
SHATARA VIVIAN DAVIS
SOUTHFIELD, MI
NPI
1972371185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
SHATARA VIVIAN DAVIS
24600 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-2471
Phone number: 586-305-2432
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Mailing Address
SHATARA VIVIAN DAVIS
22555 PALACE CT APT 101
NOVI, MI 48375-4576
Phone number: 586-305-2432
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